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Molly Marie Moore
Student in an Organized Health Care Education/Training Program in Atoka, Oklahoma
NPI 1962007690

Molly Marie Moore is a Student in an Organized Health Care Education/Training Program based in Atoka, OK. Molly Marie Moore practices in Atoka, OK. The NPI Number for Molly Marie Moore is 1962007690 and holds a License No. (Oklahoma).

The current practice location address for Molly Marie Moore is 1680 S Greathouse Drive, Atoka, OK and can be reached out via phone at 580-297-6965 and via fax at 580-324-4181.

Location: 1680 S Greathouse Drive, Atoka, OK, 74525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962007690
Provider Name
Molly Marie Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
1680 S Greathouse Drive, Atoka, OK, 74525
Phone Number
580-297-6965
Fax Number
580-324-4181
Provider Enumeration Date
12/01/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100683770A 05 OK
institution
Provider Business Practice Location Address Details
Address
1680 S Greathouse Drive
City
Atoka
State
Oklahoma
Zip
74525
Phone Number
580-297-6965
Fax Number
580-324-4181
person
Provider Business Mailing Address Details
Address
1680 S Greathouse Drive
City
Atoka
State
Oklahoma
Zip
74525
Phone Number
580-297-6965
Fax Number
580-324-4181
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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